一体化模式在急性脑出血患者急救中的应用

Application of an integrated model in the emergency treatment of patients with ACH

目的 分析对急性脑出血患者急救中应用一体化模式的效果。方法 选取2019年6月至2021年7月湖北六七二中西医结合骨科医院接诊治疗的80例急性脑出血患者,2019年6月至2020年6月给予患者急诊常规模式为对照组(n=40),2020年7月至2021年7月在对照组基础上给予患者急诊一体化模式为观察组(n=40),比较两组患者的救治效果、时间效能、并发症发生率及急救满意度。结果 观察组患者的救治总有效率为87.50%,明显高于对照组的67.50%(P <0.05);观察组患者救治过程中所需的急救介入时间、急诊至手术时间及有效救治时间均短于对照组(P <0.05);观察组患者并发症总发生率为15.00%,明显低于对照组的35.00%(P <0.05);观察组急救总满意度为95.00%,高于对照组的72.50%(P <0.05)。结论 在急性脑出血患者的救治中,急诊一体化救治模式具有较高的临床应用价值,可提高救治有效率,缩短急救时间,减少并发症,满意度高,值得推广。

Objective To analyze the effect of the integrated model in emergency treatment of patients with acute cerebral hemorrhage(ACH). Methods A total of 80 patients with ACH treated in Hubei 672 Orthopaedics Hospital of Integrated Chinese and Western Medicine from June 2019 to July 2021 were selected. From June 2019 to June 2020, patients were given the conventional model of emergency treatment as the control group(n=40). From July 2020 to July 2021, on the basis of the control group, patients were given the integrated model of emergency treatment as the observation group(n=40). The efficacy, time efficiency, incidence of complications and satisfaction rate of emergency treatment were compared between the two groups. Results The total effective rate of treatment in the observation group(87.50%) was significantly higher than that in the control group(67.50%)(P < 0.05). The required emergency treatment intervening time, time from emergency treatment to surgery and effective treatment time in the observation group were shorter than those in the control group(P < 0.05). The total incidence of complications in the observation group(15.00%) was significantly lower than that in the control group(35.00%)(P < 0.05). The total satisfaction rate of emergency treatment in the observation group(95.00%) was higher than that in the control group(72.50%)(P < 0.05). Conclusion In the treatment of patients with ACH, the integrated model for emergency treatment is of high clinical application value, which can increase the effective rate of treatment, shorten the emergency treatment time, and reduce complications, with high patient satisfaction, and thus is worthy of promotion.